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Published: 2023-03-14
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DOI: https://doi.org/10.52852/tcncyh.v145i9.315
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Vol. 145 No. 9 (2021)
Section
Các bài báo
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Dũng, L. T., Linh, V. H., Hải, Đào X., Tùng, L. T., & Sỹ, T. V. (2023). Liver venous deprivation induces good liver hypertrophy before major hepatectomy: initial results in Vietnam. Journal of Medical Research, 145(9), 93-100. https://doi.org/10.52852/tcncyh.v145i9.315 (Original work published October 30, 2021)

Liver venous deprivation induces good liver hypertrophy before major hepatectomy: initial results in Vietnam

Le Thanh Dung, Vu Hoai Linh, Dao Xuan Hai, Lai Thanh Tung, Than Van Sy

Main Article Content

Abstract

This study described the efficacy of portal vein embolization (PVE) with liver venous deprivation (LVD) before major hepatectomy. From 1/2020 to 6/2021, eleven patients received PVE and four patients received LVD. There were no procedure-related complications in the PVE group, one patient presented with major bleeding after LVD and died after 38 days. Five of eleven patients in the PVE group and three of four patients in the LVD group were resected. The mean hypertrophy rate in the PVE and LVD groups were 32% and 118%, respectively, p = 0.024. The kinetic growth rates in 2 these groups were 5% and 38%, respectively, p = 0.01. LVD induces higher hypertrophy than PVE, and can be used possibly as an alternative to PVE to increase the proportion of patients undergoing major liver resection. This technique needs to be further evaluated and compared to other liver hypertrophy methods.


 

Article Details

Keywords

Major hepatectomy, portal vein embolization, hepatic vein embolization, liver venous deprivation

References

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